Anonymous
Hi, I need some advice. I am too paranoid already and having so many sleepless nights because of worrying.
Last late February 2016, I met this guy with an unknown status. We booked a motel and performed oral sex.
He gave me a blowjob and I did the same thing for about 2 minutes and the rest, we just do hand job.
I was so worried because I forgot that I have a cut on my lower lip because of wind burn. It was not bleeding but I can feel pain. We also kissed by the way.
After 2 weeks, I went for a holiday. It took me 8 hours of flight just to reach the destination.
During my arrival on the said country, I got sick for 2 days.
I stayed there for 10 days and after I came back, I got swollen lymph node on my neck, tonsilitis and got sick again for 3 days.
Aside to that, from March till May, I had 3 night sweats but my room temperature is cold.
My friends have noticed some weight loss on my body as well.

I am so worried. I can't focus because I am too paranoid already.
Do I need to go for a HIV test?
What are the risk of having HIV with having a cut on my lip and performed a blowjob?
Please help
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline as your source for HIV/AIDS related information. I am sorry to hear that you have been so worried about this. Let me help you by giving you some [HIV facts](http://www.avert.org/hiv-transmission-prevention).

First, I would like to say that hand jobs and kissing are considered no risk activities. On the other hand, giving oral sex is considered a low risk activity and receiving oral sex is considered a negligible risk. At most, your risk from the encounter you described above, is considered low risk. I will explain these facts a little further by showing you the HIV transmission equation. To get HIV, you must have all 3 factors present.

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
As you can see from the table, hand jobs and kissing do not have any of the factors above present and that is why they are considered no risk.

The activity you are most considered about, oral sex, does not have all of the factors present. Giving oral sex is considered low risk because it has 2 of the factors present, the exchange of body fluids and access to the blood stream via the mouth. However, please know that the mouth has saliva present which, thankfully, has enzymes that help to breakdown HIV and make it very difficult to transmit. Receiving oral sex is considered a negligible risk because it has only one of that factors present, the exchange of body fluids. Negligible means that while there is a risk due to the exchange of body fluids, there have never been any confirmed reports of infection occurring in this manner.

To address your concerns regarding the cut on your lip, please know that you have nothing to fear. For a cut to pose as an access point, it must be large, deep and actively bleeding. This is not the case in your situation. Furthermore, the only fluids you would be exposed to via kissing is the saliva, which if you look at the table above, is not one of the fluids capable of carrying HIV.

With regards to your symptoms, know that HIV has no clinically definable symptoms. This means that symptoms vary from person to person and for this reason, symptoms are not a good indicator of someone’s HIV status. The only way to determine if you have HIV is to get tested. While you do not have to get tested immediately based on this encounter, AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's, including HIV. If you did want to get tested, an important fact to know is that all HIV tests are considered conclusive at 12 weeks after the last high risk exposure. Since your situation above is past the 12 week mark and if you have not had any further exposures, any test you do would be considered conclusive. For more information on [testing](http://www.avert.org/hiv-testing), please see you local medical professional.

I hope I have helped to answer your questions. Please feel free to contact us if you have anymore questions or refer to the links provided above for more information.

Best wishes,

Mary

AIDS Vancouver Online Helpline

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